Individual
DR. HEATHER ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 N MAIN ST, MOSCOW, ID 83843-2631
(208) 882-6076
Mailing address
2011 11TH AVE, CLARKSTON, WA 99403-1734
(208) 305-3428
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6403
ID
183500000X
Pharmacist
PH60156577
WA
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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